Organization
SHOOTING STARS BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXIA WESLEY (OWNER)
(702) 236-7802
Entity
Organization
Contact information
Practice address
4600 E CHARLESTON BLVD APT 2, LAS VEGAS, NV 89104-5754
(702) 236-7802
Mailing address
4600 E CHARLESTON BLVD APT 2, LAS VEGAS, NV 89104-5754
(702) 236-7802
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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